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Page 1: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:
Page 2: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:
Page 3: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO Regional Disaster

Response Team

Washington, D.C., 2010

Page 4: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

Field Manual--PAHO/WHO Regional Disaster Response Team

Washington, D.C., PAHO/WHO, 2010, 68 p.

ISBN 978 92 75 30551

Available in Spanish as Gu�a de Campo: Equipo Regional de Respuesta a Desastres de la OPS/OMS

© Pan American Health Organization (PAHO), 2009

A publication of the Area on Emergency Preparedness and Disaster Relief of the Pan American

Health Organization.

The opinions expressed and recommendations and designations made in this publication do not

!"#"$$%&'()*&"+"#,*,-"*#.&&"!,*/0('#'"$*%!1*0/'!'0!$*02*,-"*3%!*45"&'#%!*6"%(,-*7&8%!'9%,'0!*0&*'2*',$*

:"5;"&*<,%,"$=*>-"*5"!,'0!*02*$/"#'?#*#05/%!'"$*0&*02*#"&,%'!*5%!.2%#,.&"&$@*/&01.#,$*10"$*!0,*

imply that they are endorsed or recommended by PAHO/WHO in preference to others of a similar

nature that are not mentioned.

The Pan American Health Organization will give favorable consideration to requests for authorization

,0*&"/&01.#"*0&*,&%!$(%,"*%((*0&*/%&,*02*,-'$*/.;('#%,'0!A*%$*(0!8*%$*',*'$*.$"1*20&*!0!/&0?,*/.&/0$"$=*

Requests for information should be directed to the Area on Emergency Preparedness and Disaster

Relief, Pan American Health Organization, 525 23rd Street, Washington, D.C. 20037, U.S.A.; Fax

(202) 775 4578; e-mail: [email protected].

>-'$*/.;('#%,'0!*B%$*5%1"*/0$$';("*B',-*,-"*?!%!#'%(*$.//0&,*02*,-"*</%!'$-*48"!#)*20&*C!,"&!%,'0!%(*

Development Cooperation (AECID), the International Humanitarian Assistance Division of the

D%!%1'%!*C!,"&!%,'0!%(*E"F"(0/5"!,*48"!#)*GDCE4HA*%!1*,-"*72?#"*02*I0&"'8!*E'$%$,"&*4$$'$,%!#"*

of the U.S. Agency for International Development (OFDA/AID).

Technical coordination for this publication was made possible by Dr. Leonardo Hern�ndez and Dr.

Robert Lee, with the support of Dr. Dana Van Alphen.

Design and graphics: Dalys G�mez.

Editorial Coordination: Tilcia Elena Delgado.

Page 5: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

TABLE OF CONTENTS

Introduction ........................................................................................................1

1. Objectives of the Response Team.................................................................3

2. Composition of the Response Team ............................................................5

3. Mobilizing the Response Team......................................................................7

A. Stand-by ..................................................................................................... 7

B. Mobilizing personnel and equipment...........................................................8

C. Arrival in the affected country.....................................................................12

D. Responsibilities during the mission............................................................13

4. Mobilizing Resources ..................................................................................19

A. Central Emergency Response Fund (CERF)............................................19

B. Flash Appeal ............................................................................................ 21

5. Health Sector Cluster ..................................................................................23

A. PAHO/WHO responsibilities as the health cluster lead..............................24

B. Health Cluster Coordinator ........................................................................25

C. Relationship of cluster with authorities.......................................................25

6. Annexes ........................................................................................................ 27

Useful items for mobilization

Annex 1. Administrative issues....................................................................... 29

Annex 2. Checklist of items for basic personal emergency kit........................32

Annex 3. D-"#J('$,*20&*02?#"*$.//('"$..............................................................33

Annex 4. Action card for PAHO/WHO Representatives (PWRs).....................34

Annex 5. Minimum requirements for water, sanitation and nutrition................35

Annex 6. Logistics ...........................................................................................36

Rapid assessment of impact on the health sector

Annex 7. Health situation

! Rapid general assessment .........................................................37

! Damage to the health network ....................................................39

! Information on emergency shelters .............................................40

page

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Annex 8 Assessment of health situation for adults over 60 years old

! Rapid general assessment ..........................................................41

! Health and housing ..................................................................... 42

! Adults living in emergency shelters .............................................43

! Nursing home infrastructure ........................................................44

! Needs of residents of nursing homes ..........................................45

Annex 9 Mental health checklist .......................................................................46

Annex 10 Assessment of water systems ...........................................................47

Annex 11 Water quality control...........................................................................48

Annex 12 Assessment of sanitation in shelters ..................................................49

Annex 13 Post-disaster assessment of damage to health facilities.....................50

Useful information for response

Annex 14 Post-disaster epidemiologic surveillance equipment...........................51

Annex 15 Daily epidemiologic surveillance form (symptomatic)..........................52

Annex 16 Sanitation assessment in shelters ......................................................53

Annex 17 Equipment and supplies for vector control ......................................... 57

Annex 18 Calculating malathion application rate ................................................58

Information management and communication

Annex 19 Rapid general assessment .................................................................60

Annex 20 Checklist for emergency communication ............................................61

Annex 21 Preventing information management problems ..................................62

Annex 22 Situation report (SITREP) form ..........................................................63

Mobilizing resources

Annex 23 Appeal for international assistance (Flash appeal).............................64

Annex 24 Central Emergency Response Fund (CERF)......................................65

Annex 25 Contact list for PAHO/WHO Area on Emergency Preparedness and

Disaster Relief (PED).........................................................................66

Annex 26 Web sites ...........................................................................................67

Annex 27 Acronyms and abbreviations.............................................................. 68

TABLE OF CONTENTS

page

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

Introduction

Each year, disasters of varying severity occur in the Region of the Americas.

In some cases, these events overwhelm the response capacity of the countries

affected, and require the assistance of international disaster experts. To address

these situations and at the request of Ministers of Health in the Region,a the

Pan American Health Organization (PAHO/WHO) established a Regional Disaster

Response Team (RDRT) to assist countries with emergency and disaster response.

The Team carries out rapid damage and needs assessments, cooperates in

emergency response coordination, and advises PAHO/WHO authorities and their

national counterparts about decisions to be taken in response to the emergency.

In addition, the Team helps to activate the health sector, laying the groundwork

for the health cluster, a mechanism established as part of the United Nations

Humanitarian Reform process.

This practical manual describes how the Response Team is mobilized, and

objectives and responsibilities of the Team during different phases of an emergency.

It also gives guidelines on mobilizing resources.

The manual includes forms and checklists that can be used for health services,

emergency shelters, water and sanitation, epidemiologic surveillance, damage

and needs assessment, and mental health, among other areas. This material is

useful for gathering and analyzing the information needed for making decisions

about effective response.

The Manual for the Regional Disaster Response Team is a tool that will assist

PAHO/WHO Representatives and their national counterparts to make better

assessments when facing emergency or disaster situations.

1

a Meeting of the Directing Council of the Pan American Health Organization (2004); Resolution CD 45, R8.

Page 8: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:
Page 9: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

1. OBJECTIVES OF THE REGIONALRESPONSE TEAM

The objectives of the Regional Disaster Response Team are as follows:

! To mobilize a team of public health experts who can provide support

to emergency operations in one or several countries affected by

disaster.

! To cooperate with national authorities in carrying out rapid damage

and needs assessments in the health sector in order to coordinate

the response of international agencies.

! To advise the health sector in carrying out immediate interventions.

! To evaluate health information and assess potential public health

risks for the population.

! To gather and rapidly disseminate necessary public health information

3

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Page 11: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

2. COMPOSITION OF THE

RESPONSE TEAM

D"/"!1'!8*0!*,-"*!""1$*02*,-"*#0.!,&)*0&*#0.!,&'"$*%22"#,"1A*3467@$*4&"%*0!*

Emergency Preparedness and Disaster Relief (PED) will determine the required

technical expertise of the team members. In most cases, the Response Team will

include experts from the following disciplines:

! Coordination

! Administration and procurement

! Logistics

! Water and sanitation

! Epidemiology

! Health services

! Information and communications

The team members may be PAHO staff or experts from PAHO Member Countries.

In certain cases, experts may be needed in areas such as nutrition, vector control,

structural engineering, chemical or technological hazard response, volcanology,

and bioterrorism, among others.

The team sent to the affected country will work with national authorities and

with the United Nations Disaster Assessment and Coordination (UNDAC) team,

nongovernmental organizations (NGOs), and Red Cross societies.

5

Page 12: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

PE

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COMPOSITION OF THE RESPONSE TEAM

Page 13: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

3. MOBILIZINGTHE RESPONSE TEAM

A. STAND-BY

!"#$%&#'(')'*'"#+%,+*-"+./(0"1'%&2)+3,45"+%,+*-"+6783+70"2+

on Emergency Preparedness and Disaster Relief (PED)*

" K0#%,"*%!1*#0!?&5*,-"*%F%'(%;'(',)*02*5"5;"&$*02*,-"*L"8'0!%(*E'$%$,"&*

Response Team.

" Contact necessary team members located in the subregion.

" Maintain contact with PED headquarters in Washington, D.C.

" Prepare necessary equipment for communications and survival, if

warranted by conditions in the affected country.

" Inform the PAHO/WHO Representative (PWR) in the country where the

required experts will be deployed.

" Prepare travel authorizations (TAs) and assist in the administrative

process of procuring work permits, visas, airline tickets, travel allowances,

vaccinations, and security clearances, as necessary, for team members.

*Mobilization of the team is coordinated at the regional level.

Responsibilities of team members

Team members should do the following:

" Prepare for departure within 12 hours;

" Review available information about the event and the affected country;

" Review the Regional Disaster Response Team manual and contents of the

personal emergency kit.

7

__________

* See Figure 1 on page 6.

Page 14: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

8

B. MOBILIZING PERSONNEL AND EQUIPMENT

Administration

1. Responsibilities of the subregional advisor of the

PAHO/WHO Area on Emergency Preparedness and

Disaster Relief (PED)

! Advise PED/HQ (Washington, D.C.) to activate the Emergency

Operations Center (EOC) and keep the Disaster Task Force at PED/

HQ informed.

! Discuss the composition of the Regional Disaster Response Team

with PED/HQ.

! Sign travel authorizations (TAs) for team members if the PAHO/WHO

Representative (PWR) is not available (PAHO/WHO Administrative

Manual, Section XV.4.530.4).

! Recruit expert personnel for a period not to exceed 15 days, with

verbal approval from the PWR in the affected country (PAHO/WHO

Administrative Manual, Section XV.4.530.5). Notwithstanding verbal

approval, all transactions must be completed and documented in the

02?#"*02*,-"*#0&&"$/0!1'!8*3ML=

PAHO/WHO will reimburse personnel who must purchase their own airline tickets

B-"!*,'#J",$*#%!!0,*;"*'$$."1*,-&0.8-*%*3467NM67*02?#"=*>-"*#0&&"$/0!1'!8*

travel authorization (TA) must be prepared prior to travel to ensure that team

members will have insurance coverage.

MOBILIZING PERSONNEL AND EQUIPMENT

Page 15: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

2. Travel for emergency response

In the event of a disaster or emergency, the PED team coordinator will notify

team members to make preparations for travel and to await further instructions.

Depending on the type and scale of the disaster, not all experts will necessarily

have to travel at the same time.

3. Insurance coverage

! PAHO/WHO insurance covers personnel who use noncommercial

airlines in emergency situations only when the corresponding travel

authorization (TA) has been issued.

! Short-term consultants (STCs) and temporary advisors are covered

by accident insurance (PAHO/WHO Administrative Manual, Section

II.12, STC, Annex A).

! Accident and medical insurance coverage for team members is

based on the type of contract they have with PAHO/WHO and their

mode of travel. Before departure, team members should review the

terms of their travel and insurance coverage.

! Short-term consultants (STCSs) receive medical insurance coverage

in accordance with current regulations (PAHO/WHO Administrative

Manual, Section II.7, Annex A, Appendix C).

! >"%5* 5"5;"&$* %&"* #0F"&"1* 20&* %((* 02?#'%(()* %//&0F"1* 5"%!$*

of transport when a travel authorization has been prepared that

complies with United Nations standards and regulations. This

includes transport by military or private helicopter and other aircraft

when the team member is a passenger (not the pilot).

! Team members who are not contracted by PAHO/WHO are

responsible for their own insurance coverage.

! Regulations concerning drivers of vehicles, including automobile

rental, are included in Annex 1.

9

Page 16: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

4. Local expenses or petty cash

Resources must be assigned for local expenses required to carry out the mission.

Invoices must be submitted to justify these expenditures.

5. Essential portable equipment

PAHO/WHO will provide team members with personal emergency kits and

,"("#055.!'#%,'0!$*%!1*02?#"*"O.'/5"!,* ,0*%$$'$,* ,-"5* '!*?"(1*B0&J=*K08'$,'#$*

experts will determine the type of equipment required depending on conditions at

the disaster site.

6. Vaccinations

P"#%.$"*02*,-"*!%,.&"*02*,-"*L"8'0!%(*E'$%$,"&*L"$/0!$"*>"%5@$*%#,'F','"$A*',*'$*

recommended that the following vaccinations for all team members be up-to-date:

Hepatitis A (unless an individual has previously been infected), Hepatitis B, yellow

fever (every 10 years), tetanus/diphtheria (every 10 years), typhoid, and polio. The

team leader will clarify any questions regarding recommended vaccinations.

10 MOBILIZING PERSONNEL AND EQUIPMENT

Page 17: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

11

EOC

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Page 18: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

C. ARRIVAL IN THE AFFECTED COUNTRY

Team leader responsibilities

! Q$,%;('$-* #0!,%#,* B',-* ,-"* #0.!,&)@$* 3467NM67* L"/&"$"!,%,'F"*

G3MLHA*,-"*E'$%$,"&*I0#%(*30'!,*'!*,-"*3ML*02?#"A*%!1*,-"*1'$%$,"&*

coordinator for the Minister of Health (see Figure 2 on page 11).

! Establish contact with PED Headquarters in Washington, D.C., and

,-"*3QE*%1F'$0&*'!*,-"*$.;&"8'0!%(*02?#"=

! Establish contact with other agencies involved in the health sector,

including international nongovernmental organizations (NGOs), the

UNDAC team, and Red Cross societies.

! Ensure that leadership of the health sector is in place. If a health cluster

has been established as outlined by the U.N. Humanitarian Response

Reform, cooperate closely with the leader of the health cluster.

! Prepare daily situation reports and send them to PED Headquarters

(Washington, D.C.), to the PWR in the affected country, and to

the subregional PED advisor within 24 to 48 hours of arrival in the

affected area.

! Meet daily with the Regional Disaster Response Team members,

either in person or by other practical means (e.g., video conference).

Team member responsibilities

! Contact, consult with, and provide feedback to national counterparts

in the ministry of health, water and sanitation sector, etc.

! 4$$"$$*,-"*$',.%,'0!*'!*,-"*,"%5*5"5;"&@$*%&"%*02*,"#-!'#%(*"R/"&,'$"*

together with the corresponding national counterpart.

! Propose measures to be carried out in the immediate, mid- and long-

term.

! Provide the leader of the Regional Disaster Response Team with

daily reports.

12 MOBILIZING PERSONNEL AND EQUIPMENT

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

13

D. RESPONSIBILITIES DURING THE MISSION

Role of the team leader

! Carry out rapid needs assessment following the event.

! Oversee collection and distribution of information following the event.

! C2* !"#"$$%&)A* "$,%;('$-* %* ?"(1* 02?#"* %$* /%&,* 02* ,-"* #0.!,&)@$*

Emergency Operations Center for Health (Health EOC).

! Coordinate health group activities and needs assessment.

! Request periodic reports on the arrival of donations through the

Logistics Support System for Humanitarian Supply Management (LSS/

SUMA) and other systems to keep informed on supplies and needs.

! Write daily reports for the country PWR, PED/HQ, local authorities, and

,-"*S=T=*72?#"*20&*,-"*D00&1'!%,'0!*02*6.5%!',%&'%!*422%'&$*G7D64H=

! Prepare reports from the health sector group.

! Facilitate the work of the Regional Response Team.

! Advise donors about needs for international assistance.

! Prepare project proposals to mobilize funds through the PED/HQ

02?#"=

! Advise local authorities about preliminary project proposals

for repair and reconstruction, establishing as a minimum

the parameters outlined in the Sphere Project Handbook

(see http://www.sphereproject.org).

! Prepare a list of materials to be purchased, including all necessary

$/"#'?#%,'0!$*,0*5"",*,-"*'55"1'%,"*!""1$*'!*,-"*-"%(,-*$"#,0&=*

! 3&"/%&"* ,-"* ?!%(* 5'$$'0!* &"/0&,* 20&* 3QEN6UA* ,-"* 3ML* '!* ,-"*

affected country, and the PED Subregional Advisor.

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Responsibilities of other Response Team members

Regional Disaster Response Team members are responsible for cooperating

with their counterparts in the government of the affected country. This entails

general planning, the execution and supervision of activities, and gathering

information about the extent of physical damage following the disaster. Team

members should be responsible for the following:

! Assess damages in the health sector (hospitals, clinics, water and

sanitation systems, waste disposal, electric power, communications,

and access).

! Identify immediate needs in cooperation with national counterparts

and other agencies of the health sector.

! Advise on setting up epidemiological surveillance and early warning

$/"#'?#%(()*20&*1'$%$,"&$*GE'$"%$"*Q%&()*M%&!'!8*<)$,"5VVEQM<H=

! Advise on health needs for temporary shelters.

! Determine response capacity (local, national, and regional), needs,

and necessary actions to be carried out with health counterparts.

! Advise local authorities and the team leader about priorities and

how to apply humanitarian assistance in health.

.$"5'45+0"#$%&#'(')'*'"#+%,+A"2:+:":("0#B+(C+*"5-&'52)+20"2

"Administration ! Organize the deployment of personnel and necessary equipment

to the site of the event, in accordance with PAHO/WHO rules and

regulations.

! Maintain an updated list of relevant contacts.

! :%!%8"*/",,)*#%$-*%!1*$"#.&"*$,%2?!8A*?!%!#'!8A*"O.'/5"!,A*%!1*

services.

14 MOBILIZING PERSONNEL AND EQUIPMENT

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

! Oversee compliance with PAHO emergency standards and

procedures.

! Ensure that security standards are implemented.

"Logistics ! Arrange for transport to the site of the event.

! 7&8%!'9"*-0.$'!8*%!1*B0&J*$',"$*G?"(1*02?#"H*20&*,-"*,"%5=

! Arrange for the installation and maintenance of technical equipment,

including telecommunications equipment.

! Prepare a basic list of needs and determine whether they can be

purchased locally.

! Identify logistic needs for the health sector.

! Identify operational requirements.

! :%J"*#0!,%#,*B',-*(08'$,'#$*02?#"&$*2&05*0,-"&*%8"!#'"$*B0&J'!8*B',-*

the health sector.

"Water and sanitation

! Assess the impact of the event on the water and sewerage systems.

! Work with local counterparts to set priorities in sanitation and repair

of services.

! Evaluate requests for technical assistance and equipment related

,0*B%,"&A*$%!',%,'0!A*%!1*"!F'&0!5"!,%(*-"%(,-*G"2+."!,A*#0(("#,'0!*

of solid waste, sewerage).

! Advise on the environmental health situation in shelters.

! Advise on monitoring water quality.

! Inform the team leader about necessary actions.

! Maintain contact with international and national agencies working

with water and sanitation (Water and Sanitation Group); determine

needs and set up a map showing implementation.

"Epidemiologic surveillance

! Support local authorities in establishing or adapting the epidemiologic

monitoring and warning system. This includes investigation and

#0!?&5%,'0!*02*$.$/"#,"1*#%$"$*%!1*#0!,&0(*02*0.,;&"%J$=

15

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! Assist local authorities and international teams in control measures

(preventive or curative measures including vector control, food

safety, and animal health).

! Document the epidemiologic situation for future reference.

! Establish a system to compile epidemiologic information and analysis;

structure daily reports to include potential epidemiologic risk.

! Propose measures to quickly reestablish public health programs.

"Vector control

! Identify, propose, and corroborate measures for mosquito and

rodent control.

"Nutrition

! Assess impact of the event on food sources in the affected region.

! Evaluate short-term nutritional needs for the affected population

! Assess the operational capacity for safe preparation, management,

and use of food for human consumption.

! Establish food distribution systems.

! Establish coordination mechanisms with other agencies and/or

entities.

! Support hospitals, health care centers, and vulnerable populations

with access to food.

"Health services

! Carry out a rapid assessment of the condition of the health services.

! Assess needs for immediate repairs to essential health services for

the response phase and health personnel requirements.

! Carry out rapid assessment of damages to health facilities

(considering structural, nonstructural, and functional aspects).

! Evaluate high priority medical and surgical needs, including supplies

and equipment for immediate treatment of the affected population.

16 MOBILIZING PERSONNEL AND EQUIPMENT

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

! Identify needs for other specialized procedures.

! Prepare proposals for organizing the health service network taking

into account the impact of the disaster.

! Develop and review preliminary projects for emergency repairs to

major facilities that will allow their temporary or partial use.

"Mental health

! Identify existing mental health resources.

! Identify the local entity that oversees mental health treatment or the

institutions or agencies that provide mental health treatment.

! Determine whether a plan is in place to address mental health issues

following disasters and provide support in implementing that plan.

! Assemble individuals who have local responsibility for mental

health issues to implement a local plan if that plan does not exist.

! Assess the involvement of health personnel and propose

alternatives.

! Develop projects to continue with mental health treatment and

needs following the disaster.

! Coordinate mental health treatment activities with other agencies.

"Communications and information management

! Compile information about the situation.

! Prepare situation reports (SITREPs)

! L"/&01.#"*%!1*1'$,&';.,"*$',.%,'0!*&"/0&,$*,0*3ML$A*,-"*S=T=*72?#"*

for the Coordination of Humanitarian Affairs (OCHA), Emergency

Operations Center at PAHO/WHO Headquarters (Washington,

D.C.), national Emergency Operations Center, United Nations

System, PWR Web site, Humanitarian Network (Redhum).

! Organize information about the emergency.

! Support and advise the ministry of health as warranted by the

situation and requirements of their system.

17

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

4. MOBILIZING RESOURCES

The Regional Disaster Response Team uses the damage and needs

assessment for the health sector to prepare project proposals that PAHO/WHO

will present to donors, thereby mobilizing resources. In addition, PAHO/WHO

can establish its own response fund.

All proposals to mobilize emergency funds, including those for the U.N.

Central Emergency Response Fund (CERF), are prepared in the field and

finalized at PED/HQ (Washington, D.C.). OCHA coordinates the preparation of

%!*'!,"&!%,'0!%(*+%$-*%//"%(*'!*,-"*#%$"*02*!%,.&%(*1'$%$,"&$A*%!1*3467NM67A*

along with Health Cluster counterparts, participates in preparing the appeal for

the health sector, including for counterparts of the health group.

The team member(s) responsible for communications and the team leader

coordinator ensure that information needed for the proposals is transmitted to

PED/HQ (Washington, D.C.) as quickly as possible.

The U.N. Resident Coordinator in the affected country, with the assistance of

7D64A*'$*&"$/0!$';("*20&*/&"/%&'!8*,-"*+%$-*%//"%(*%!1*DQLI*/&0/0$%($=*

A. CENTRAL EMERGENCY RESPONSE FUND (CERF)

Project proposals for CERF grants should be prepared exclusively in terms of

Òlife-savingÓ operations (see Figure 3 on page 20). CERF grants can be used for:

▶ Rapid response operations. In acute crises, funds must be committed

within 3 months. In slow-onset emergencies, projects can be carried out

over a 12-month period.

19

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Figure 3. Criteria for CERF proposals

Life-saving activitiesProbable life-saving

activities (depending on context)

Activities that do not meet life-saving criteria

▶Medical services ▶ De-mining operations

(explosives)

▶ Rebuilding

infrastructure

▶Water and

sanitation ▶ Vaccine supply ▶ Training for instructors

▶ Nutritional

supplements ▶General food distribution ▶Micro credits

▶ Common humanitarian

services (logistics,

communications)

▶ Epidemiologic

surveillance

▶ Emergency

preparedness plans

▶ Security measures ▶ Psychosocial

20 MOBILIZING RESOURCES

Ensuring rapid approval and funding of a project

▶ Describe activities so that they can be easily understood by people without

expertise in health issues. This will preclude questions that might slow

down the granting process.

▶ Present a realistic proposal, keeping in mind the importance of a having

a rapid decision.

▶ Include administrative costs.

▶ Always coordinate with PED/HQ (Washington, D.C.), since they can

provide advice.

▶ C!#(.1"*#0$,$*20&*;0,-*?"(1*%!1*#00&1'!%,'0!*0/"&%,'0!$=

▶ Include costs for technical support of the supply chain for the ministry

of health or other entities responsible for health, water, and sanitation,

depending on the case.

▶ Include costs for purchase of communications equipment and necessary

services (radio equipment, cellular telephones, laptops, and GPS

equipment).

▶ C!#(.1"*#0$,$*02*;%$'#*$"#.&',)*20&*$./"&F'$'0!*%!1*?"(1*%#,'F','"$=

The damage assessment should always emphasize the true capacity of the affected country. Use the CERF format (see Annex 24).

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

21

B. FLASH APPEAL

>-"*+%$-*%//"%(* '$*/%&,*02*,-"*/&0#"$$*02*&"O."$,'!8*-.5%!',%&'%!*%$$'$,%!#"*

and is the most important tool for coordination, programming, and strategic

planning.

C,*'$*'5/0&,%!,*20&*,-"*+%$-*%//"%(*,0*'!#(.1"*,-"*20((0B'!8W

▶ 4*('$,*02*,-"*50$,*.&8"!,*('2"V$%F'!8*!""1$*'!*,-"*?&$,*B""J*20((0B'!8*%!*

emergency.

▶ A rapid needs assessment, a Common Humanitarian Action Plan

GD643HA*%!1*$/"#'?#*&"$/0!$"*/(%!$*%!1*/&0X"#,$=

▶ The most important requirements for a period of up to six months.

The Flash Appeal may be expanded into a Consolidated Appeal if the

emergency continues beyond six months (see Annex 23).

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

23

5. HEALTH SECTORCLUSTER

The cluster approach is a mechanism established as part of the United Nations

Humanitarian Reform process to improve the coordination of disaster response

for countries. PAHO/WHO has been designated as the health cluster lead in the

Region of the Americas.

! >-"*-"%(,-* #(.$,"&* 2%#'(',%,"$* .!'?"1*B0&J* 02* 0&8%!'9%,'0!$* '!* ,-"*

-"%(,-*$"#,0&@$* &"$/0!$"* ,0*%!*"5"&8"!#)=*>-"*#(.$,"&*%//&0%#-*

aims to maximize the use of resources and to establish objectives

and common strategies; it also provides for the analysis of outcomes

of interventions.

! Members of the cluster should be proactive in the needs assessment

process, in prioritizing activities, and in developing response

strategies for the entire health sector.

! The PAHO/WHO Regional Disaster Response Team will be

proactive in coordinating the activities of teams that travel to the

affected country as well as national teams that are part of the

health cluster.

! PAHO/WHO is responsible for designating an individual as the

health cluster coordinator. This person must have extensive

experience in emergency management, proven analysis skills, and

the ability to coordinate inter-institutional work.

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24 HEALTH SECTOR CLUSTER

A. PAHO/WHO RESPONSIBILITIES AS THE HEALTH CLUSTER LEAD

As the lead health cluster agency, PAHO/WHO is accountable to OCHA to ensure

proper functioning of the cluster. Its responsibilities include:

▶ Assign a full-time coordinator and provide administrative and other

necessary support services to ensure the effective performance of the

cluster.

▶Make certain that the major humanitarian actors in the health sector

are included in the cluster and establish effective coordination

mechanisms.

▶ Ensure that a rapid and thorough needs assessment is carried out.

▶Guarantee that the cluster works closely with the ministry of health,

provides assistance to organizations interested in supporting national

%.,-0&','"$* '!* "5"&8"!#)* &"$/0!$"A* %!1* 1"?!"$* %#,'0!* /(%!$* 20&* ,-"*

response as soon as possible.

▶ Identify and resolve shortages in medical and humanitarian supplies.

▶ Q!$.&"*,-"*1"F"(0/5"!,*02*#0550!*/(%!$*,0*&"$/0!1*,0*'1"!,'?"1*!""1$*

and to include cross-cutting issues (equity, gender, and HIV).

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

B. HEALTH CLUSTER COORDINATOR

The Health Cluster coordinator will be chosen from the list of technical personnel

who have received training for this function.

▶ The coordinator may be a PAHO/WHO staff member, an outside

consultant, or assigned from other institutions or agencies (see

www.humanitarianreform.org/humanitarianreform/Default.

aspx?tabid=75).

▶When the coordinator is a PAHO/WHO staff member, he or she will be

committed exclusively to health cluster activities, and not have other

operational responsibilities.

C. RELATIONSHIP OF CLUSTER WITH AUTHORITIES

▶ The cluster should act as a facilitator in organizing international

humanitarian response in support of the efforts of the host government.

▶ It is the responsibility of the health sector cluster to ensure that international

humanitarian agencies base their actions on an understanding and analysis

of local capacities. The cluster must develop and maintain effective links

with governments and local authorities (ministry of health) as well as local

civil society organizations involved in health activities. The health cluster

$-0.(1*1"?!"*,-"*50$,*"22"#,'F"*%#,'0!*/(%!*%$*$00!*%$*/0$$';("=

▶ The nature of these relationships will depend on the situation in each

country and the will and capacity of each of the stakeholders to direct

or participate in humanitarian activities.

▶When the government or state institutions, including the ministry of health,

are unable to lead in response activities, either because of political factors

or because of the impact of an ongoing event, the cluster will work to

improve or facilitate relationships with international humanitarian actors

in obtaining timely and effective assistance for the affected population.

25

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM 27

ANNEXES

Useful items for mobilization

Annex 1. Administrative issues

Annex 2. Checklist of items for basic personal emergency kit

Annex 3. D-"#J('$,*20&*02?#"*$.//('"$

Annex 4. Action card for PAHO/WHO Representatives (PWRs)

Annex 5. Minimum requirements for water, sanitation, and nutrition

Annex 6. Logistics

Rapid assessment of health situation

Annex 7. Health situation

! Rapid general assessment

! Damage to the health network

! Information on emergency shelters

Annex 8. Assessment of health situation for adults over 60 years old

! Rapid general assessment

! Health and housing

! Adults living in emergency shelters

! Nursing home infrastructure

! Needs of residents of nursing homes

Annex 9. Mental health checklist

Annex 10. Assessment of water systems

Annex 11. Water quality control

Annex 12. Assessment of sanitation in shelters

Annex 13. Post-disaster assessment of damage to health facilities

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Useful information for response

Annex 14. Post-disaster epidemiologic surveillance equipment

Annex 15. Daily epidemiologic surveillance form (symptomatics)

Annex 16. Sanitation assessment in shelters

Annex 17. Equipment and supplies for vector control

Annex 18. Calculating malathion application rate

Information management and communication

Annex 19. Rapid general assessment

Annex 20. Checklist for communication in emergencies

Annex 21. Preventing information management problems

Annex 22. Situation report (SITREP) form

Mobilizing resources

Annex 23. 4//"%(*20&*'!,"&!%,'0!%(*%$$'$,%!#"*G+%$-*%//"%(H

Annex 24. Central Emergency Response Fund (CERF)

Important information for Team members

Annex 25. Contact list for the PAHO/WHO Area on Emergency Preparedness

and Disaster Relief (PED)

Annex 26. Important web sites

Annex 27. Acronyms and abbreviations

28 ANNEXES

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

Administrative issues

Accident insurance

Appropriate and immediate transportation is critical to respond to natural disasters.Contractors as well as PAHO/WHO staff are covered by accident insurance (PAHO/WHO Manual II.7) for all means of transport when required for work-related travel. This includes travel in military, police, or private aircraft (when traveling as passengers) with prior approval of the U.N. Department of Security and Safety in T"B*Y0&J*GE<<NTYH*0&*%//&0F%(*2&05*,-"*1"$'8!%,"1*$"#.&',)*02?#"&*'!*,-"*%22"#,"1*

host country.

In accordance with DSS/NY regulations, the use of military helicopters or aircraft '!* %!)* "5"&8"!#)*5.$,* ?&$,* ;"* %//&0F"1* ;)* ,-"* 1"$'8!%,"1* $"#.&',)* 02?#"&* '!*

,-"* #0.!,&)A* B-0* B'((* $.;5',* ,-"* &"O."$,* 20&* ?!%(* %.,-0&'9%,'0!* ;)* E<<NTY=*

>-'$* &"O."$,*$-0.(1*/&0F'1"*$/"#'?#* '!20&5%,'0!* ,-%,*B'((* ;"*.$"1* 20&* '!$.&%!#"*

purposes, including the type of aircraft/helicopter (taking into account necessary $"#.&',)*5"%$.&"$HA*,-"*"!,',)*&"$/0!$';("*20&*,-"*+'8-,*G20&*"R%5/("A*%*#0.!,&)@$*

military forces), the places to be visited, among others.

PAHO/WHO limits the number of permanent staff or consultants traveling on the same aircraft to 15 (General Information Bulletin No. HQ/FO-07-36) to minimize the loss of PAHO/WHO personnel in case of an accident. WHO and other U.N. agencies limit the number of staff and consultants traveling on the same aircraft to 30 (PAHO/WHO Manual II.7.680). If absolutely essential, special authorization to increase the PAHO/WHO limit can be requested from the PAHO/WHO Director through the Director of Administration.

▶ In accordance with WHO regulations (WHO Manual VII.I. 320-340) and PAHO/WHO operational procedures, PAHO/WHO staff or consultants must request authorization when travel by charter aircraft or boat is necessary during an emergency. This application should, when possible, be presented 5 days prior to the expected travel date to the Manager of the General Services Area, who is authorized by the PAHO/WHO Director to approve such requests.

▶ Persons who are not PAHO/WHO staff, including those assigned by member governments during emergency or disaster situations, are not entitled to PAHO/WHO health or accident insurance coverage (PAHO/WHO Manual IV.8.570).

29

ANNEX 1

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30

▶ Individuals traveling under a PAHO/WHO collective travel authorization are

not covered by PAHO/WHO health or accident insurance.

▶Only personnel contracted directly by PAHO/WHO, including temporary

staff, short-term consultants (STCs), and temporary advisors are covered

by the PAHO/WHO group accident insurance policy (PAHO/WHO Manual

II.7, II.12 Annex A, and VII.4 Annex 4, respectively).

Drivers of PAHO/WHO vehicles

>-"*S!',"1* T%,'0!$* '!$.&%!#"* /0('#)* B'((* !0,* #0F"&* 1&'F"&$* B-0* %&"* !0,* 02?#'%(*

3467*1&'F"&$=*>-"*02?#'%(*1&'F"&*#%!*;"*%!)*'!1'F'1.%(*%.,-0&'9"1*;)*3467NM67*

to operate a vehicle (permanent staff, STCs, temporary advisors, staff from another agency, etc.). In the case that PAHO/WHO has authorized an individual to operate %!*02?#'%(*F"-'#("A*,-"*1&'F"&*'$*#0!$'1"&"1*S=T=*$,%22=*72?#'%(*('$,$*02*,-"*!%5"$*02*

authorized drivers must be maintained in case an accident occurs.

PAHO/WHO can authorize individuals who are not PAHO staff or employees or B-0*%&"*!0,*02?#'%(*3467*1&'F"&$*,0*0/"&%,"*02?#'%(*F"-'#("$*'!*#%$"*02*"5"&8"!#)=*

In such cases, U.N. vehicle insurance policy does not provide coverage for these individuals, so they must have their own insurance coverage.

The WVLIP does not provide personal coverage for drivers. The policy provides coverage only for third-party bodily harm or death and damage to third-party vehicles or property. Third parties include pedestrians and other persons not employed by ,-"*S!',"1*T%,'0!$*0&*3467NM67=*E"$'8!%,"1*1&'F"&$* $-0.(1*-%F"*B0&J5%!@$*

compensation (in the United States), local insurance, or another type of insurance coverage. Proof of this insurance must be kept with the personnel manager of the appropriate agency, Ministry, etc. The WVLIP provides third-party coverage for passengers who are not United Nations staff. For example, if a journalist or NGO staff member is in a PAHO/WHO vehicle, he/she will be covered by third-party coverage in case of an accident.

C2* %* 3467NM67* 1&'F"&* -%$* %!* %##'1"!,* %!1* %* ("8%(* $.',* '$* ?("1* %8%'!$,* ,-"*

Organization or driver, the policy will cover legal costs associated with the suit.

ANNEXES

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

However, if the PAHO/WHO driver is injured or killed, the policy provides no coverage for injury or death of the PAHO/WHO driver.

Vehicle rental

Vehicle rental for emergency teams is necessary, and the emergency response team must be aware of restrictions having to do with security and insurance. The (0#%(*3467NM67*L"/&"$"!,%,'F"*G3MLH*0&*Z"!"&%(*<"&F'#"$*72?#"*'!*M%$-'!8,0!A*

D.C., should be consulted about these restrictions.

The policy for drivers who are not PAHO/WHO staff applies to any type of vehicle that is rented by PAHO. Persons who are not employed by PAHO and rent a F"-'#("*20&*02?#'%(*.$"*1.&'!8*%!*"5"&8"!#)A*5.$,*0;,%'!*,-"'&*0B!*/"&$0!%(*%!1*

property insurance coverage.

Costs for renting a vehicle and purchasing insurance coverage may be reimbursed by the Organization, assuming prior written approval has been acquired. A request for reimbursement of travel expenses must be submitted.

Special considerations

The PED Subregional Advisor and/or the PAHO/WHO disaster focal point in a country can sign their own travel authorizations and those of personnel and consultants who travel for the purpose of providing humanitarian assistance (see PAHO/WHO Manual XV.4.530.4).

31

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32

ANNEX 2

! Rain gear

! Plastic bags, self-sealing (10L x 10, 5L x 10)

! Mess kit (knife, fork, spoon, plate, cup, cooking utensils)

! Personal hygiene items (toilet paper, soap, deodorant, sanitary napkins, insect repellent, sunscreen)

! C1"!,'?#%,'0!*#%&1

! I(%$-('8-,N+.0&"$#"!,*(%5/

! Batteries

! Electrical tape

! Cigarette lighter

! Field rations

! Hammock, bedding, sleeping bag, mosquito net

! Writing paper

! Cash

! M%,"&*/.&'?#%,'0!*,%;(",$N*/0&,%;("*B%,"&*?(,"&

! *D0/)*02*/%$$/0&,*%!1*0,-"&*'5/0&,%!,*10#.5"!,$*G#&"1',*#%&1$A*'1"!,'?#%,'0!*#%&1$A*F%##'!%,'0!*#"&,'?#%,"$H[*20.&*/%$$/0&,V$'9"*/-0,08&%/-$

! Vaccination card. Verify vaccination recommendations for areas to be visited. The mission coordinator will inform team members if there are requirements for prophylaxis or vaccination (e.g., Hepatitis A, Hepatitis B, yellow fever)

! *3"&$0!%(*?&$,V%'1*J',*G'!#(.1'!8*5"1'#'!"*/&"$#&'/,'0!$A*'2*!"#"$$%&)H

! Remember to have annual medical, dental, and gynecological check-ups, as appropriate

ANNEXES

Checklist of items for basic personal emergency kit

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

33

ANNEX 3

9-"5D)'#*+%,+%,45"+#/$$)'"#

! Transistor radio and back-up battery

! Plastic bags (zip-lock) for documents

! Ball-point pen, pencils, stationery

! Waterproof markers

! Self-adhesive labels

! Portable radio or satellite communications system, cellular phone

! Copy of Manual for Regional Disaster Response Team

! Maps

! Stapler and staples

! Calculator

! PAHO/WHO decals and adhesive tape

! Addresses and telephone numbers of contacts in host country

! Receipt book

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Your role is strategic and political:

! In accordance with an accurate and independent assessment, determine whether the situation merits the declaration of an internal state of emergency.

! Activate the emergency plan for the PWR 72?#"*%!1*0/"&%,"*'!*"5"&8"!#)*501"=

! :"",*&"8.(%&()*B',-*3ML*72?#"*$,%22*,0*$-%&"*information regarding decisions and support of the host country.

! Assign duties to PWR personnel in accordance with their expertise. The PWR focal point for disasters does not have sole responsibility for emergencies.

! Rely on staff in meetings to coordinate activities with the government and with international agencies.

! Q!$.&"*,-"*+0B*02*'!20&5%,'0!*'!,"&!%(()A*2"1*by reports on the evaluation of damage and needs assessment (DANA) with emphasis on the health component. Keep PED/HQ (Washington, D.C.) and the corresponding $.;&"8'0!%(*02?#"*'!20&5"1=

! Provide administrative and logistics support to the person assigned as health cluster lead.

! Identify national and international partners as part of the assessment and to determine needed resources.

! Support the management role of the health cluster lead (the expert designated to work exclusively for the cluster).

Immediate actions:

! D0!,%#,* ,-"* 1'$%$,"&* 02?#"* 02* ,-"* 5'!'$,&)*02* -"%(,-* ,0* 1"?!"* %!* %#,'0!* /(%!* ,-%,* B'((*support the ministry and to reprogram and redirect resources to emergency response.

! Support rapid response activities (rapid rehabilitation of health and basic sanitation services).

! Support rapid needs assessment to facilitate decision-making. The list of relevant topics is posted on the PWR intranet.

! Collaborate with the ministry of public health in organizing the response in the health sector, taking into account local response capacity and offers of international assistance.

! Cooperate in mobilizing experts of the Regional Disaster Response Team.

34

ANNEX 4

Action card for PAHO/WHO Representatives (PWRs)

! Coordinate with PED subregional and regional 02?#"$=

! Promote the use of LSS/SUMA in the country.

! Maintain communication and information (manage public information, produce internal technical reports for the EOC and external reports for the community and national donors).

! Keep the PWR Web page updated and feed the Web page for PAHO Headquarters.

Critical areas:

! Health conditions in emergency shelters.

! Affected population with special needs (chronically ill, disabled, pregnant, elderly, and displaced).

! Health infrastructure (access to health services, installed capacity, human resources, corresponding services).

! Health treatment for the affected population.

! Water and basic sanitation.

! Epidemiologic surveillance.

! Sectoral and inter-agency coordination.

Operate in emergency mode:

! Suspend events that distract attention from the emergency.

! Expedite administrative processes; be available; assign personnel for 24-hour #0F"&%8"* 02* 3ML* 02?#"[* 5%'!,%'!* 0!80'!8*PWR operations; anticipate needs (suspend leave when necessary; ensure that there are provisions for logistics, basic services, and well-being of personnel).

! E"?!"*%!*%#,'0!*/(%![*1"("8%,"*,%$J$[*&"8.(%&()*review needs and progress.

! 4$$'8!* /"&$0!!"(* ,0* ,-"* 5'!'$,&)* 02* -"%(,-@$*Emergency Operations Center (EOC).

Avoid these common errors:

! Does not delegate tasks.

! Does not share information.

! Does not use outside assistance.

! Does not heed technical advice of experts.

! Does not maintain independence because of political or media pressure.

ANNEXES

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

Minimum requirements for water, sanitation, and nutrition

Amount20 liters per person/day

250 persons per water tap

Distance Maximum distance from dwelling to water source is 100 meters

Distance between latrines and water sources Minimum of 100 meters

Latrine 1 per 20 persons

Distance Maximum distance from dwelling to latrine is 30 meters

Solid waste disposal 1 disposal site per 500 persons (measuring 2 m x 5 m x 2 m; 2.2 yd x 5.5 yd x 2.2 yd)

Soap 250 g (8.8 oz) per person per month

Energy 2100 kilocalories per person per day

Kilocalorie/100 g (3.5 oz) Monthly ration per person

Cereals 350/100 g (3.5 oz) 13.5 kg (7.7 lb)

Beans 335/100 g (3.5 oz) 1.5 kg (3.3 lb)

Oil (vegetable) 885/100 g (3.5 oz) 0.8 kg (1.8 lb)

Sugar 400/100 g (3.5 oz) 0.6 kg (1.3 lb)

Protein 10%Ð12% total energy (52Ð63 g),but < 15%

Fats 17% of total energy (40 g)

Vitamin A 1666 IU (or 0.5 mg retinol equivalents)

Thiamine (B1) 0.9mg (or 0.4 mg per 1000 kcal ingested)

L';0+%F'!*GP\H 1.4 mg (or 0.6 mg per 1000 kcal ingested)

Niacin (B3) 12.0 mg (or 6.6 mg per 1000 kcal ingested)

Vitamin C 28.0 mg

Vitamin D 3.2Ð3.8 µg calciferol

Iron 22 mg (low bio-availability, i.e., 5%Ð9%)

Iodine 150 mg

___________________G]H*%**D055.!'#%;("*1'$"%$"$*#0!,&0(*'!*"5"&8"!#'"$=*4*?"(*5%!.%(*"1',"1*;)*:=4=*D0!!0(")=*7:<=*\^^_=

G]H*;*>-"*</-"&"*3&0X"#,=*:01'?"1*,%;("W*M67*G`aabA*1&%2,H*%!1*M0&(1*I001*3&08&%55"NS=T=*6'8-*D055'$$'0!"&*20&*

Refugees (December 1997).

35

Sanitation:

Nutrition:

Kilocalorie (kcal) calculation table:

Nutritional values (*) b :

Water (*)a:

ANNEX 5

Page 42: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

Duties DescriptionCompleted (*) a Person

responsible(*) b

Comments (*) c

Yes No Partial

Manage the health supply

chain

Supply chain and personnel contracted for or assigned to

logistics

Purchase

Selection, purchase,

outsourcing

Storage and inventory

Manage warehouses

Transfer of inventory

IT, radios, communications

Functional networks

Communications center

I'"(1*02?#"$

Transport

Merchandise

Means of transport

Manage transport contractors

Manage ,&%!$/0&,%,'0!*+"",

Maintenance

Communications equipment

Medical equipment

Vehicles

Imports and donations

Manage documentation and procedures for imports and

donations

Implement SUMA-LSS

(other systems)

Management system for

donations and supplies

Basic operational needs for Disaster

Response Team

Housing, food, security, transport

(*) a Mark with an ÒxÓ when task has been completed.(*) b Write the name of the person responsible for the designated task. (*)c Include relevant observations.

36

ANNEX 6

Logistics checklist

ANNEXES

Page 43: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

(Subm

it r

eport

as s

oon a

s p

ossib

le.)

Report

num

ber:

# D

ate

pre

pare

d:

Tim

e p

repare

d:

Pre

pare

d b

y:

Type o

f event:

D

ate

of event:

No. of days

after

eve

nt _

__

_

Countr

y:

Popula

tion N

o.

(*)

aC

om

me

nts

: (*

) b

Are

a a

ffecte

d (

geogra

phic

al re

gio

n)

by p

olit

ical/adm

inis

trative d

ivis

ion:

Affecte

d a

rea

Depart

ment/S

tate

/Pro

vin

ce

Munic

ipalit

y/D

istr

ict

(*)

a E

nte

r th

e p

opula

tion f

or

the a

rea d

escribed.

(*)

b P

rovid

e a

ny a

dditio

nal in

form

ation t

hat

is n

eede

d fo

r d

ecis

ion

ma

kin

g.

Healt

h s

itu

ati

on

(1)

Rap

id g

en

era

l assessm

en

t

37

ANNEX 7

___ _

____ _

____

Day M

onth

Y

ear

Page 44: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

38

Rap

id g

en

era

l assessm

en

t

Site/A

rea (

specify)

Vic

tim

s (*

) a

Inju

red (*

) a

C

om

me

nts

(*)

c

Dead

Mis

sing

Tre

ate

d

loca

lly

Tra

nsf

err

ed

for

treatm

ent

(*)

b

Site/A

rea (

specify)

E'2?#.(,'"$*'!*5%!%8'!8*1"%1*;01'"$

Co

mm

en

ts (*

) c

Ade

quat

e

mor

gue

capa

city

Yes

N

o

Oth

er p

robl

ems (*

)d

G]H*%**C!$"&,*?8.&"$*G!.5;"&$H*20&*'!20&5%,'0!*&"O."$,"1=

(*)

b N

um

ber

of

patients

refe

rred to a

noth

er

facili

ty b

eca

use

of th

eir in

jurie

s o

r b

eca

use

lo

ca

l fa

cili

tie

s d

o n

ot h

ave

tre

atm

en

t ca

pacity.

(*)

c P

rovid

e a

dditio

nal in

form

ation a

nd o

bserv

ation

s a

s n

ece

ssa

ry.

G]H*1**E"$#&';"*/&0;("5$*'!*#055"!,$*$"#,'0!*G"=8=A*'1"!,'?#%,'0!A*;01)*;%8$A*?!%(*1'$/0$%(A*#02?!*'1"!,'?#%,'0!A*&"2&'8"&%,'0!A*/"&$0!!"(A*",#=H=

ANNEXES

Healt

h s

itu

ati

on

(1a)

Page 45: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

Dam

ag

e t

o t

he h

ealt

h n

etw

ork

Hosp

ital r

egio

n

(*)

a

Tota

l N

o. of

hosp

itals

(*

) b

Nam

es

of hosp

itals

affe

cted

(*

) c

Leve

l of ca

re

pro

vided b

y

hosp

ital (*

) d

Ava

ilable

beds

(No.)

(*)

e

Ava

ilable

se

rvic

es

(*)

fA

ccess

i-ble

(*)

gC

om

ments

(*

) h

Tota

l dam

age

Part

ial dam

age

[Prim

ary

(1),

Seco

ndary

(2),

Tert

iary

(3)]

Yes

No

(*) a

Rec

ord

the

heal

th reg

ion

serv

ed b

y th

e fa

cilit

ies

regi

ster

ed.

(*)

b R

eco

rd the n

um

ber

of hosp

itals

in the r

egio

n; th

is w

ill a

ssis

t in

reallo

catin

g h

ealth

serv

ices.

(*)

c R

eco

rd the n

am

e o

f th

e faci

lity

under

Òtota

lÓ o

r Òp

art

ialÓ d

am

age, as

appro

priate

. (*

) d In a

ccord

ance

with

the c

ountr

y sc

ale

, re

cord

the le

vel o

f co

mple

xity

of th

e faci

lity,

dis

tinguis

hin

g b

etw

een h

igher

and lo

wer

leve

ls o

f sp

eci

aliz

atio

n.

(*)

e R

eco

rd the n

um

ber

of beds

that are

ava

ilable

and funct

ional i

n the faci

lity.

(*)

f R

eco

rd the funct

ional h

osp

itals

and w

hat se

rvic

es

are

pro

vided a

nd a

vaila

ble

(su

rgery

, anest

hesi

a, ort

hopedic

s, n

euro

logy,

etc

.).

(*)

g R

eco

rd w

heth

er

or

not th

e faci

lity

is a

ccess

ible

.(*

) h U

se this

colu

mn for

info

rmatio

n a

bout dam

ages

in e

ach

health

faci

lity

and r

ele

vant in

form

atio

n a

bout ra

pid

solu

tions.

Desc

ribe d

am

ages

to e

ach

faci

lity.

39

Healt

h s

itu

ati

on

(2)

Page 46: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

Info

rmati

on

on

em

erg

en

cy s

helt

ers

(g

en

era

l)

Site/A

rea o

f shelter (

*) a

Nam

e o

f shelter

(*)

b

Pop

ulat

ion

in

shelte

r (*

)c

72?#'%(*

shelte

r

(*

)d

Impro

vise

d

shelte

r (*

) e

She

lter i

n

hom

es o

f re

lativ

es

(*)f

Rece

ives

medic

al

care

(*)g

Report

s to

epid

e-

mio

logic

su

rveill

ance

sy

stem

(*

)h

Co

mm

en

ts (*

)i

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

(*)

a Id

entify

the location a

nd a

ddre

ss.

(*)

b P

rovid

e t

he n

am

e o

f th

e s

helter.

(*)

c In

sert

the e

stim

ate

d n

um

ber

of

people

in s

helte

rs in

th

e a

rea

.G]H*1**3&0F'1"*!%5"*0&*(0#%,'0!*02*02?#'%(*$-"(,"&G$H=*

(*)

e P

rovid

e n

am

e o

r lo

cation o

f im

pro

vis

ed s

helte

r(s).

G]H*2**3&0F'1"*(0#%,'0!*B-"&"*$'8!'?#%!,*!.5;"&$*02*/"0/("*%&"*$-"(,"&"1*B',-*2%5'('"$=*

(*)

g M

ark

with a

n Ò

wheth

er

or

not

the s

helter

rece

ive

s m

ed

ica

l ca

re.

(*)

h M

ark

with a

n Ò

wheth

er

or

not

the s

helter

rep

ort

s to

ep

ide

mio

log

ic s

urv

eill

an

ce

syste

m.

(*)

i P

rovid

e a

dditio

nal re

levant

info

rmation f

or

each

lo

ca

tio

n.

40

Healt

h s

itu

ati

on

(3)

ANNEXES

Page 47: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

Healt

h a

ssessm

en

t o

f ad

ult

s o

ver

60 y

ears

old

(1

)R

ap

id g

en

era

l assessm

en

t

Location/a

rea

Nam

e o

f

shelter

or

facili

ty

No.

of

adults >

60 y

rs

No. of

adults w

ith

specia

l needs

Inju

red o

r ill

De

ath

sC

om

me

nts

(*)

c

Chro

nic

ill

ness

Functio

nal

needs

(*)

a

Loca

l tr

eatm

ent

ava

ilable

Evacuation

needed?

(*)

b

MF

MF

MF

MF

MF

MF

(*)

a P

atients

with a

uditory

, vis

ion, m

obili

ty,

or

oth

er

fun

ctio

na

l lim

ita

tio

ns. P

rovid

e d

eta

ils u

nd

er

co

mm

en

ts.

(*)

b P

atients

who n

eed t

o b

e r

elo

cate

d b

ecause o

f in

jurie

s, ill

ne

ss, o

r b

eca

use

tre

atm

en

t is

no

t a

va

ilab

le.

G]H*#*QR/%!1*0!*0&*$/"#'2)*&"O.'&"5"!,$*0&*?!1'!8$*!0,*"R/(%'!"1*'!*,-"*,%;("*%!1*,-%,*B'((*%$$'$,*'!*1"#'$'0!*5%J'!8=

41

ANNEX 8

Page 48: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

Sit

ua

ci�

n d

e s

He

alt

h a

nd

ho

us

ing

alu

d y

de

viv

ien

da

Location/A

rea

Nam

e o

f sh

elte

r or

facili

ty

No.

livin

g w

ith r

ela

tives

Liv

ing

alo

ne

With

chro

nic

ill

ness

With

fu

nct

ional

lim

itatio

ns

(*)

a

With

specia

l nutr

itional

needs

(*)

b

With

chro

nic

ill

ness

With

fu

nctio

na

l lim

ita

tio

ns

(*)

a

With

specia

l nutr

itional

needs

(*)

b

Com

ments

:

MF

MF

MF

MF

MF

MF

(*)

a F

unctional, a

uditory

, vis

ion,

mobili

ty,

or

oth

er

limita

tio

ns. P

rovid

e d

eta

ils u

nd

er

co

mm

en

ts.

(*)

b S

oft

die

t, low

in s

odiu

m, sugar,

or

oth

er

sp

ecia

l re

qu

ire

me

nts

; sp

ecify u

nd

er

co

mm

ents

.

42

Healt

h a

ssessm

en

t o

f ad

ult

s o

ver

60 y

ears

old

(2

)

ANNEXES

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

43

Liv

ing

in

em

erg

en

cy s

helt

ers

Location/A

rea

Shelter

or

facili

ty

Tota

l popula

tion in

shelters

A

dults >

60

years

old

in

shelters

Adults >

60

years

old

w

ith c

hro

nic

ill

ness

Adults >

60

years

old

with

fu

nctional

limitations

Ad

ults >

60

ye

ars

old

w

ith

sp

ecia

l n

utr

itio

na

l n

ee

ds

Co

mm

en

ts

MF

MF

MF

MF

MF

Healt

h a

ssessm

en

t o

f ad

ult

s o

ver

60 y

ears

old

(3

)

Page 50: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

44 ANNEXES

Nu

rsin

g h

om

e in

frastr

uctu

re

Location/A

rea

Nam

e o

f fa

cili

tyN

o.

of

resid

ents

Level of

dam

ag

eC

om

me

nts

Tota

lM

FTota

l (*

)a

Pa

rtia

l (*

)b

(*)

a T

ota

l dam

age: irre

para

ble

dam

age.

(*)

b P

art

ial dam

age:

not

tota

lly d

estr

oyed;

can b

e r

ep

aire

d o

r re

bu

ilt.

Healt

h a

ssessm

en

t o

f ad

ult

s o

ver

60 y

ears

old

(4

)

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

Need

s o

f re

sid

en

ts o

f n

urs

ing

ho

mes

Location/a

rea

Nam

e o

f fa

cili

ty

No. of re

sid

ents

with

chro

nic

illn

ess

N

o. re

sid

ents

with

functional lim

itations

No. of re

sid

ents

with

specia

l nutr

itio

nal

needs

Co

mm

en

ts

MF

MF

MF

45

Healt

h a

ssessm

en

t o

f ad

ult

s o

ver

60 y

ears

old

(5

)

Page 52: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

46 ANNEXES

(*)e ASSESSMENT OF MENTAL HEALTH DISASTER PLAN

Yes No Comments

1. Protocols and procedures

arranged

2. Objectives

3. Preliminary diagnosis

4. Psychosocial treatment

5. Training and strengthening of

local mental health system

6. Promotion and education in

mental health

7. Social communication

8. Community organization

9. Inter-sectoral coordination

10. Epidemiologic surveillance

11. Referrals /counter-referral

Other agencies/ NGOs (*)f Treatment sites Resources ActivitiesResponsible

party

Mental health checklist

Assessment issues Yes No Comments

1. Regulatory agency (*) a

Name of agency:

Contact telephone number:

2. Mental health plan for disasters

exists (*) b

3. Available resources (*) c

Financial

Human

Equipment and logistics

4.Priority areas for intervention (*) d

(*) a Record whether a regulatory agency exists for psychological and social assistance and support. Identify the agency.(*) b Record whether or not a plan for mental health in disasters exists and is being applied.G]H*#***L"#0&1*B-",-"&*0&*!0,*?!%!#'!8*'$*'!#(.1"1*'!*,-"*/(%!=G]H*1***L"#0&1*B-",-"&*0&*!0,*,-"*/(%!*'1"!,'?"$*$',"$*%!1*#055.!','"$*B-"&"*'!,"&F"!,'0!*$-0.(1*;"*8'F"!*/&'0&',)=*(*) e Record whether or not the plan addresses these issues.(*) f Indicate whether or not agencies or NGOs are working in mental health and where the work is conducted.

ANNEX 9

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

47

Location/s

ite

Tota

l

popu

-

lation

(*)

a

Wate

r serv

ice

availa

ble

( *) b

Wate

r

treate

d(*

) c

Dam

age t

o

wate

r sourc

es

(*)

d

Dam

age t

o w

ate

r

sto

rage t

anks

(*)

d

Dam

age t

o

pip

elin

es (*

) e

Est

imate

d tim

e

required for

repair (*

) f

Local re

-

sourc

es

for

repair

(*)

gC

om

ments

(*)

h

Yes

No

Pop

ulat

ion

Yes

No

Yes

No

M3

Yes

No

M3

Yes

No

tmD

ays/

mon

ths/

year

sY

es

No

(*)

a A

ppro

xim

ate

popula

tion o

f are

a o

f re

fere

nce.

(*)

b M

ark

with a

n Ò

wheth

er

or

not

the w

ate

r se

rvic

e is a

va

ilab

le.

(*)

c M

ark

with a

n Ò

wheth

er

or

not

the w

ate

r ha

s b

ee

n tre

ate

d; n

ote

in

th

e c

om

me

nts

if w

ate

r tr

ea

tme

nt sta

tus is u

nkn

ow

n.

(*)

d M

ark

with a

n Ò

wheth

er

or

not

wate

r sourc

es a

nd

sto

rag

e ta

nks h

ave

be

en

da

ma

ge

d, a

nd

cu

bic

me

ters

of cap

acity lo

st as a

result

(*)

e M

ark

with a

n Ò

wheth

er

or

not

pip

elin

es w

ere

da

ma

ge

d a

nd

th

e a

pp

roxim

ate

nu

mb

er

of lin

ea

r m

ete

rs d

am

age

d, if k

no

wn.

(*)

f In

dic

ate

in d

ays,

month

s,

or

years

, th

e e

stim

ate

d tim

e r

eq

uire

d to

re

pa

ir th

e s

yste

m, if k

no

wn

.(*

) g M

ark

with a

n Ò

wheth

er

or

not

there

are

loca

l re

so

urc

es (

i.e

., p

ers

on

ne

l, p

ipin

g, su

pp

lies)

to r

ep

air th

e s

yste

m.

(*)

h P

rovid

e a

dditio

nal re

levant in

form

ation f

or

ea

ch

ite

m in

th

e c

om

me

nts

co

lum

n. If d

am

age

occu

rre

d a

t a

site

but co

mp

lete

info

rmation is u

navaila

ble

, m

ake a

note

of

that

in t

he

c

om

ments

colu

mn.

ANNEX 10

Assessm

en

t o

f w

ate

r syste

ms

Page 54: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

48 ANNEXES

No

.W

ate

r sa

mple

site

/lo

catio

n (*

) a

Date

of

sam

ple

(day/m

o/y

r)D

isin

fection a

gent

(*)

b

Resid

ual chlo

rine

(*)

c

Re

sp

on

sib

le p

art

y

(*)

dC

om

me

nts

(*)

e

1 2 3 4 5 6 7 8 9 10

11 12

13

14

15

16

17

(*)

a Id

entif

y the s

ite w

here

the w

ate

r sam

ple

is taken, so that it

can b

e lo

cate

d e

asily

for

subsequent te

stin

g.

(*)

b N

am

e o

r sym

bol o

f agent used to d

isin

fect w

ate

r (e

.g., C

l, A

g, etc

.).

(*)

c N

ote

the a

mount of chlo

rine found, or

ente

r ÒN

for

not applic

able

.(*

) d E

nte

r th

e n

am

e o

f th

e p

ers

on r

esponsib

le for

measure

ments

or

sam

plin

g.

(*)

e In

clu

de r

ele

vant com

ments

on: sanita

tion, hygie

ne, w

ate

r dis

trib

utio

n o

r supply

, and w

ate

r sto

rage c

apacity

, and p

ossib

le s

olu

tions to s

hort

falls

in s

upply

.

ANNEX 11

Wate

r q

uali

ty c

on

tro

l

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

49

Site

(*)

a

No. of

pers

ons

in

shelte

r

Liters

of

wate

r

(*)b

Environm

enta

l sanitation

Food

safe

ty

overs

ight

(*)c

Sp

ecify

oth

er

co

n-

ce

rns

Co

mm

en

ts (*)d

Adequate

excre

ta

dis

posal

(

*)c

Dra

inage

for

waste

w

ate

r

(

*)c

Solid

waste

dis

posal

(

*)c

Yes

No

Yes

No

Yes

No

Yes

No

G]H*%**3&0F'1"*!%5"*0&*(0#%,'0!*02*$-"(,"&A*,0*5%J"*',*"%$)*,0*?!1*',*%,*%*(%,"&*1%,"=

(*)

b In

dic

ate

appro

xim

ate

num

ber

of

liters

of

wate

r p

rovid

ed

da

ily to

th

e s

he

lte

r. W

rite

Òn

on

if th

ere

is n

o w

ate

r se

rvic

e,

or

ÒNF

Ó(not

functional) if

supply

is irr

egula

r.(*

) c In

dic

ate

wheth

er

or

not

the s

erv

ice e

xis

ts in t

he

sh

elte

r, a

nd

ÒN

(no

t fu

nctio

na

l) if th

e s

erv

ice

is irr

eg

ula

r o

r re

qu

ire

s r

ep

air.

G]H*1**L"#0&1*$.2?#'"!,*%!1*&"("F%!,*'!20&5%,'0!*%;0.,*%*/&0;("5*$0*,-%,*',*#%!*;"*&"$0(F"1=*

Assessm

en

t o

f san

itati

on

in

sh

elt

ers

ANNEX 12

Page 56: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

50 ANNEXES

Service status

Human resources

SuppliesEquip-ment

Infrastruc-ture

Comments

General medicine

General surgery

Obstetrics/

gynecology

Pediatrics

Operating room

Outpatient clinic

Emergency unit

Pharmacy

Radiology

Laboratory

Physical therapy

Laundry room

Central sterelization unit

Nutrition

Transport

Morgue

Electricity N/A N/A

Water supply N/A N/A

Telephones N/A N/A

2-way radio

Note: Use the appropriate code for each box; include any explanations under ÒCommentsÓ.

Post-disaster assessment of damage to health facilities

Event: ___________________________ Date of assessment: ___________ Facility: ________________________ No. of beds: _____ Pre-disaster: _____Name of assessor:___________________ Post-disaster: _____

Code Condition of service <,%2?!8 Supplies Equipment Infrastructure Code

0 No service No staff No supplies Not functional Not functional 0

1 Only emergen-cy services

Only emergency personnel

Only emergency supplies

Moderate damage; limited function

Moderate damage; limited function

1

2 Limited service Limited per-sonnel

Limited supplies Minor damage; functional

Minor damage 2

3 Normal service T0&5%(*$,%2?!8 Normal supplies No damage Functional 3

X Service is not normally available

Personnel not normally available

Supplies not normally available

Equipment not normally available

No damage X

ANNEX 13

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

51

Possible extra equipment

c* Portable Millipore equipment for water analysis (1)

c* Ultraviolet light

c* Standard household measure (500 ml)

c* Clip boards

c* Magnifying glass

c* Collection vials (1 doz.)

c* Compass, GPS

!" #$%&'"()*"+,-

!" ./0(01"$232$"+,-

!" 4)56%01)"$7(372"+*0//2(-"

c* Aspirator with stoppered tubes (mosquito collection)

c* Water pressure gauge, positive and negative pressures

c* Hand"+$232$-

!" 87/0*"1251"901":)("/;)5/;751752

Equipment

c* Disposable syringes/needles (10cc)

c* Vacutainers (red top) and needles

c* Sterile plastic containers, sodium thiosulfate for water samples

c* Disposable sampling tools

c* Chlorine test kit with color comparator and extra reagents

c* Alcohol swabs in individual packets

c* Disposable clothing

c* Fluorescein tablets

c* Forms for evacuation (from health facility)

c* Forms for investigation of food-borne illnesses/gastroenteritis.

c* Forms for investigation of viral hepatitis, diphtheria, poliomyelitis, typhoid,

dengue, tetanus, and malaria, as deemed necessary for surveillance.

c* White paper pads

c* Mapping pins

c* Graph paper

c* Ruler

c* Sanitizer test tape

c* Thermometers (dial typeÑ10 to 110)

c* Metric measuring tape

ANNEX 14

Post-disaster epidemiologic surveillance equipment

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52 ANNEXES

Health status/symptoms

Signs, symptoms, or conditions

Age group

<5 5 - 14 15 - 54 55+ Total Comments

M F M F M F M F

Fever

Fever and cough

Fever and urticaria (skin rash)

Fever and petechiae (hemorrhagic spots on skin)

Diarrhea

Jaundice

Other conditions (name them)

Injured (*)b

Deaths (*)b

Patients with disabilities (*)b

Patients with chronic illness (*)b

Other important health information (*)c

Daily epidemiologic surveillance form (symptomatic) (*)a

Name of hospital, health care facility, shelter: _____________________________ _________________________ Name Location (town/district)

Person completing form: _______________________________________

Date:_____________________________

(*) a In shelters, this form is designed for use by non-health personnel with some medical knowledge. The aim is to gather information on a daily basis from shelters and to inform and alert medical personnel responsible for the area about health conditions in the disaster-affected population, and to assist in decision making. (*) b Write the condition and name of person affected.(*) c Record only new cases occurring for the day.

ANNEX 15

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

53

1. GENERAL INFORMATION

Name of shelter: Location:

Person responsible for shelter: Telephone:

Approximate area of shelter (m2):

m2 Approximate m2 per person:

Total population in shelter:

Origin of displaced population

Urban area (*) a Rural area (*) a

2. POPULATION DISTRIBUTION

Men Women Comments

Less than 1 year old

1-4 years old

5-14 years old

15-59 years old

60+ years old

Persons with chronic illness (*) b

Persons requiring specialized medical treatment (*) c

Persons with disabilities requi-

ring specialized care (*) b

General observations

(*) a Describe area of origin of displaced persons living in shelter.(*) b Record the number of people; name each person and his/her location in the shelter; describe his/her illness and relevant medical treatment. (*) c Describe special medicine or treatment required. This information should be sent to health personnel.

ANNEX 16

Sanitation assessment in shelters (1)

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54 ANNEXES

3. DRINKING WATER SUPPLY

Drinking water is available: Yes No

Source of water: Public network Cistern truck or pipe Well Stationary tank

Other source (specify)

Frequency of delivery: Daily Weekly Other (specify)

Water storage: Comments (*)a

Tank: Capacity m3 ______

Material:________

Condition: Satisfactory

Unsatisfactory

Other systems: Capacity m3 Material Condition:

Water treatment: Yes No Treatment used (*)b __________

Sedimentation Filtration Disinfection Others (specify chemical) ______________

Quality control conditions: Yes NoFrequency: Daily Weekly Other

4. EXCRETA DISPOSAL

Excreta disposal system exists: Yes No Comments:

Sewage system Latrines Septic tank Portable units (chemical)

Other system (specify)

Storm drainage exists: Yes No Condition_______________________

Availability of bathrooms:

Element

Number Condition Comments/Recommendations

Children Women Men Good Poor

Bathrooms

Toilets

Wash basins

Showers

Urinals

Community participates Yes Noin cleaning:

Frequency of Daily Every other day Weekly

cleaning:

Security for users: Yes No

Distance from the shelter: _______meters

Distance from water source: _______meters

Water and supplies for cleaning available:

Yes No

(*) a List the tanks to identify and locate them for sampling purposes (if necessary, write on the back of this form).(*) b Provide the chemical name and frequency of use.

Sanitation assessment in shelters (2)

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM 55

5. SOLID WASTE

Indoor collection

Adequate indoor collection: Yes No

Adequate number of receptacles (trashcans): Yes No

Condition of receptacles: Good Poor Adequate

Name of person responsible:____________________________

Frequency of collection: Daily Weekly

Adequate outside collection: Yes No

Condition of receptacles: Good Poor Adequate

Name of person responsible: _______________________________

Frequency of collection: Daily Every other day Weekly

Shelter cleanliness

Adequate cleaning of shelter: Yes No

Community participates in cleaning: Yes No

Name of person responsible:

Frequency of cleaning: Weekly Every other day Daily

6. VECTOR CONTROL

Comments

Detection of breeding sites: Yes No

Control measures applied: Yes No

Detection of vectors/rodents : Yes No

Which? ________________

______________________

Control measures applied: Yes No

Institutions or agencies responsible: ________________________

______________________________________________________

Comments

Sanitation assessment in shelters (3)

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56 ANNEXES

7. FOOD

Kitchen assessment:

Adequate Inadequate Needs/Options

Comments/Recommendations

Person/agency in charge of food:

Fuel used:

Kerosene Gas Wood Coal

Other Which?

Hygiene: Good Poor

Safety measures: Adequate Inadequate

Infrastructure: Adequate Inadequate

Behavior standards: Yes No

Assessment of foods:

Refrigeration: Yes No

Preservation: Adequate Inadequate

<.2?#'"!,*2001W*** Yes No

Regular supplies: Yes No

Describe problems:

Sanitation assessment in shelters (4)

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

57

Pesticide application equipmentLECO Model 1800E/LP/PTRLECO cold aerosol insecticide generator, ultra low volume (ULV), LP +0B*#0!,&0(*$)$,"5A*`_*8%((0!*/0()",-)("!"*,%!J*%!1*&%#J*%$$"5;()A*`d*HP Briggs & Stratton engine. Supplier: Clarke Mosquito Control, 159 N. Garden Avenue, Roselle, IL 60172, U.S.A. Attention: Ms. Melody Saperston, Tel: 630-671-3125, Fax: 630-894-1774.

Approximate cost

$8,000 per unit

HUDSON Model no. 67362WDHUDSON X-Pert compression sprayer, 3 gallons with pressure gauge, $-.,022*#0#JA*!099("*+0B*&"8.(%,0&A*,-&.$,("$$*$-.,022*%!1*$,&%/*_^55*(2 in.).Supplier: H.D.Hudson Manufacturing Co., 500 North Michigan Avenue, Chicago, IL 60611 Attention: Ms. Paula Marshall, Tel: 312-644-2830, Fax: 312-644-7989.

$173 per unit

SWINGTEC Fontan PortastarKnapsack ULV aerosol applicator equipped with 1.8 HP two-stroke engine.Supplier: Swingtec GMBH, Postfach 1322, D-88307 Isny, GermanyAttention: Dr. Thomas Meyer, Tel: 49-7562-708-0, Fax: 49-7562-708-111.

$1040 per unit

HUDSON model 98600AHudson ultra-low volume sprayer, 0.9 gallons.Supplier: H.D.Hudson Manufacturing Co., 500 North Michigan Avenue, Chicago, IL 60611 Attention: Ms. Paula Marshall, Tel: 312-644-2830, Fax: 312-644-7989. Model No. 98600A

$748 per unit

Pesticides

Malathion, ultra-low volume liquid (UL), 96% minimum, technical, 1"010&'9"1A*'!*%##0&1%!#"*B',-*M67*$/"#'?#%,'0!*!.5;"&$*`\NSK*(2003) and 12/TC (2003), 20 liter steel drum. Supplier: Cheminova A/S, P.O. Box 9, DK-7620 Lemvig, DenmarkAttention: Mr. Hugo Nielsen, Tel: 45-96-90-96-90, Fax: 45-96-90-96-91.

$5/litero

>"5"/-0$*`e*$%!1*8&%!.("$*'!*%##0&1%!#"*B',-*$/"#'?#%>"5"/-0$A*`e*$%!1*8&%!.("$*'!*%##0&1%!#"*B',-*$/"#'?#%,'0!$*M67N<CINf^=L`*and WHO/SIT/19.R4, with variations, 50-pound bag.Supplier: Clarke Mosquito Control, 159 N. Garden Avenue, Roselle, IL. 60172, U.S.A.Attention: Ms Melody Saperston, Tel: 630-671-3125, Fax: 630-894-1774. Temephos, Bti. Supplier: Valent BioSciences, 870 Technology Way, Suite 100, Libertyville, IL. 60048, U.S.A.Attention: Dr. Russell Gardner, Tel: 847-968-4733, Fax : 847-968-4802.

$1.50/lb .

(*) a *3&'#"$*20&*"O.'/5"!,*%!1*$.//('"$*%&"*;%$"1*0!*,-0$"*O.0,"1*20&*,-"*?&$,*-%(2*02*\^^d=*T0,"W*>-"*'!#(.$'0!*02*$/"#'?#*#05/%!'"$*0&*02*#"&,%'!*5%!.2%#,.&"&$@*/&01.#,$*'!*,-'$*('$,'!8*10"$*!0,*'5/()*,-%,*,-")*are endorsed or recommended by PAHO/WHO in preference to others of a similar nature that are not mentioned.

ANNEX 17

Equipment and supplies for vector control (*) a

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58 ANNEXES

ANNEX 18

Calculating malathion application rate (1)

1. Determine the application method. Read the product label to verify the

2$$)'52*'%&+02*"+,%0+#$"5'45+,%0:/)2*'%&#E

A. Malathion thermal fog (manually or from vehicle); WHO recommended

application rate= 8 oz/acre

2. Calculate the area to be treated

A. Calculate the area to be treated (communities where dengue is present

or adult mosquito control is necessary). For thermal fogging, calculate the

proportion of the total area to be treated, since the entire area between towns

or communities is not treated.

B. Conversion factors

1) 1 square mile = 640 acres

2) 1 square kilometer = 247 acres

3) 1 hectare = 2.5 acres

3. Calculate the total amount of malathion at the required concentration

A. (Area to be treated) X (application rate in acres). Read the product label

to determine the rate in the scale used in your country (miles, kilometers,

hectares, acres)

4. Calculate the amount of fuel needed for fogging (chemical control label) to

>"0',C+*-"+2$$)'52*'%&+02*"+%,+2+#$"5'45+,%0:/)2*'%&#E

Example: Concentration (96% malathion mixed with diesel to produce 6.25% malathion mixture)

16 gallons of diesel need for each gallon of malathion.

5. Example: Calculation of malathion and diesel needed for each fogging

application (manual spray) in mosquito control area of 7 square miles.

Example:

Treatment area 7 square miles (small communities close to other

communities) 7 sq mi X 640 acres/sq mi = 4,480 acres

Application rate for fog is 8 oz/acre x 4,480 acres = 35,840 oz malathion;

(1 gallon =128 oz)

35,840 oz/128 oz = 280 gallons malathion required concentration

Diesel required: 280 gallons malathion x 16 gallons of diesel fuel = 4,480

gallons diesel

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

59

If residential areas are the only locations to be treated (for example, rather than uninhabited areas

lying between untreated communities), calculate the proportion of the total inhabited area, and

reduce the total quantity of diesel and malathion mixture accordingly. For example, if residential

%&"%$*#05/&'$"*0!()*b_e*02*,-"*b*%#&"$*%22"#,"1*;)*+001'!8A*&"1.#"*,-"*,0,%(*%50.!,*02*5%(%,-'0!*

and diesel by 25%.

Combine the calculation of fogger teams needed to treat homes in the affected area.

1. Number of houses to be treated

2. Number of houses that can be treated daily by one fogger team.

3. Calculate the number of days needed by a team to treat the entire area (e.g., 5-7

days).

4. Calculate how many fogger teams will be needed to treat all houses in the desired

time period.

Example:

1. The census indicates that 20,000 people live in the affected area; with an average of

5 people per house, for a total of 4,000 houses in the area (the census might provide

the number of houses).

2. Past experience shows that a two-person fumigation team can treat a maximum of

200 homes daily (3 hours in the morning and 3 hours at night).

3. 4,000 houses/200 houses daily = 20 days for a single application round per two-

person 40 worker-days.

4. If the round must be completed in 5 days, 40 worker-days/5 day round = 8 workers are

needed to carry out the job. This assumes that they have rapid access to sites, repair

parts, and mechanics to maintain the equipment.

Calculating malathion application rate (2)

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60 ANNEXES

ANNEX 19

STATUS OF OPERATIONAL RESPONSE BY AGENCIES AND ORGANIZATIONS

Fecha de respuestaCapacidad percibida de

respuesta

Agency

National government

Civil defense/Civil protection

OCHA

National Red Cross

International Committee of the Red Cross

UNDAC

UNICEF

UNHCR

UNDP

WFP

PAHO/WHO

NGOs

PED (PAHO/WHO)

Current PED strategy

Event: Date: Time:

Location

Location(s) affectedAreas closest to affected city

Request for international assistance:

Situation

Number evacuated: Affected population:

Number missing:

Number injured: QR,"!,*02*+001'!8

Current weather

Summary of event Damage assessment Hazard assessment

General: Damage to housing

Number of displaced persons

Damage to infrastructure

Damage to transportation infrastructure

Displaced population Damage to public services/ lifelines:- Electricity- Water- Gas- Medical

Security:

INITIAL DAMAGE ASSESSMENT

Initial report

+ 6 hours + 12 hours +18 hours + 1 day +2 days

Reported deaths

Reported injuries

Reported missing

Directly affected population

Displaced (total)

E'$/(%#"1*'!*02?#'%(*$-"(,"&$

Houses damaged

Houses destroyed

Hospitals affected

Water supply affected (%) (specify urban or rural)

- Communications- Sewerage- Other

Rapid general assessment (*)

(*) This information will be usefull for the preparation of the Sitrep.

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

ANNEX 20

61

1. Completed rapid assessment of information and communication needs during the emergency?

YES NO

2. Needs are::

c* Internal? YES NO

c* Need advisor? YES NO

c* Need strategy for working with communication media? YES NO

c* Team is available? YES NO

c* Communication plan exists? YES NO

c* M'((*B0&J*B',-*!%,'0!%(*%!1*'!,"&!%,'0!%(*#0.!,"&/%&,$g**********YQ<**************T7*

3. Are the following aspects of information management and production understood?

c* Collection of information? YES NO

c* Production? YES NO

c* Analysis? YES NO

c* Dissemination of information? YES NO

4. Are the following people familiar with these mechanisms?

c* Staff of PAHO/WHO Representative (PWR)? YES NO

c* Regional Disaster Response Team? YES NO

FE+<%"#+'&,%0:2*'%&+G%H+,0%:+,%))%H'&1+"&*'*'"#I

c* Ministry of Health? YES NO

c* Regional Disaster Response Team? YES NO

c* International organizations? YES NO

c* Other staff of PAHO/WHO Representative (PWR) who are involved in emergency response?

YES NO

c* L"8'0!%(*3467NM67*02?#"g*************YQ<*****************T7

6. Have procedures been established for the following?

c* Evaluation of information? YES NO

c* Organization of information? YES NO

c* Monitoring information? YES NO

7. Is information exchange maintained with the following?

c* EOC (National and PAHO/WHO in Washington, D.C.)? YES NO

c* PAHO/WHO Situation Room? YES NO

c* Ministry of Health Situation Room? YES NO

c* U.N. agencies? YES NO

8. Are procedures and scheduling clear for the preparation, clearance, and distribution of situation

reports (SITREPs)? YES NO

JE++82>"+*-"+,%))%H'&1+(""&+?"4&"?I

c* Relationship with the communication media? YES NO

c* Visibility strategies for PAHO/WHO? YES NO

10.++82>"+&""?#+(""&+'?"&*'4"?+,%0+-"2)*-+$0%:%*'%&+:2*"0'2)#I+

YES NO

c* Are there personnel available to develop these materials?

YES NO

(*) 1 En cada punto registre o ampl�e la informaci�n recolectada con las observaciones que considere pertinente para orientar las decisiones.

Checklist for communication in emergencies (*)

(*) Provide additional relevant information for each question if it is needed.

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62

ANNEX 21

Preventing information management problems

! Q$,%;('$-* #("%&* %!1* +"R';("*

measures for gathering, processing,

verifying, and approving information.

This applies to internal information

pertaining to Disaster Team issues,

as well as information shared

between PAHO/WHO and national

authorities.

! Get answers to these questions: Who

prepares what, when, and what are

the contents? Who informs whom,

when, and with what information?

Who approves the information

before it is made public?

! The measures used for gathering

and analyzing information should

be shared by all team members.

If everyone is familiar with the

methods, formats, and procedures,

the results will be uniform and the

/&0#"$$*50&"*"2?#'"!,=

! Always seek a balance between

speed and quantity/quality of the

information.

! Establish clear procedures for

regular production and distribution

according to the needs of those

requesting information (e.g., PAHO/

WHO Emergency Operations Center

in Washington, D.C., U.N. agencies,

PWR, etc.).

! Avoid claiming excessive prominence

in emergency management.

Anticipating and controlling political

sensitivity are important elements at

all levels of emergency management.

! Anticipating the most complex

situations and having an organized

%!1* "2?#'"!,* .$"* 02* &"$0.&#"$* #%!*

be accomplished if there is prior

planning and if tasks are completed

before an emergency. Prior planning

also allows for better management

of people who join the team.

! Make sure that all communication

media have equal access to

information about the emergency

situation, its impact on the

population, relief activities, and how

the situation is developing. Take the

time to understand and satisfy the

5"1'%@$*1"5%!1$*20&*'!20&5%,'0!=

! Review materials on health promotion

that might be relevant during the

ongoing emergency situation. If new

materials have to be developed, be

sure to involve the health promotion

team from the ministry of health and

experts in different disciples (e.g.,

water and sanitation, epidemiology,

vector control, nutrition, mental

health, health services, and

communication).

ANNEXES

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

63

ANNEX 22

Event:

Date of event:

</"#'?#*%&"%*02*'5/%#,W

Date of report:

1. Brief description of adverse event (include information about deaths, injuries, displaced population, houses destroyed):

2. Impact of the event:

a. Impacts on health of the population (displacement to shelters, obstacles to accessing health services, lack of access to health service locations):

b. Impacts on water/environment: (dinking water, vectors, negative environmental impacts, negative changes in services including drinking water, power, trash collection):

c. Impacts on health and other infrastructure (e.g., hospitals damaged):

3. If a preliminary damage and needs assessment exists, provide a synthesis of

that report. If the needs assessment does not exist, omit this item and send the

damage and needs assessment information at a later date.

4. General information about actions being taken in the health sector (Ministry of

Health, PAHO/WHO, United Nations, Red Cross, other actors):

5. Was an emergency declared?

6. Was international assistance requested?

KE+L%#*+/01"&*+&""?#+'&+*-"+-"2)*-+#"5*%0+2#+'?"&*'4"?+(C+*-"+5%/&*C+%0+6783M=83E+

Prepared by: _______________________________

Before sending this report, be sure that it provides clear answers to the following questions:

c* M-%,*'$*-%//"!'!8g

c* M-)*'$*,-"*"F"!,*'5/0&,%!,g*GC5/('#%,'0!$*%!1*/0$$';("*'5/%#,$*0!*-"%(,-H

c* M-%,*%&"*,-"*5%'!*!""1$g*M-%,*%&"*,-"*-"%(,-*$"#,0&*%!1*3467*10'!8*,0*&"$/0!1g

c* C$*'!,"&!%,'0!%(*%$$'$,%!#"*!""1"1*%,*,-'$*,'5"g

c* >%J'!8*'!,0*%##0.!,*%#,'0!$*,%J"!*'!*&"$/0!$"*,0*/&'0&*"F"!,$*02*,-'$*!%,.&"A*B'((*'!,"&!%,'0-

nal resources or assistance be needed?

Take into account:

c* C,*'$*'5/0&,%!,*,-%,*)0.*$"!1*,-'$*&"/0&,*%$*O.'#J()*%$*/0$$';("=*

c* 4F0'1*B&','!8*(0!8*0&*#05/('#%,"1*&"/0&,$=

c* D("%&()*'!1'#%,"*,-"*$0.&#"$*02*)0.&*'!20&5%,'0!=

Sample situation report (SITREP)

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64 ANNEXES

Appeal for international assistance (flash appeal)

1. Executive summary (1 page)

▶ Brief description of the situation

▶ Priority needs and response plan

▶ Requested amount (in US dollars)

▶ Time period covered by appeal (not to exceed 6 months)

2. Context and humanitarian consequences (1.5 pages)Context

▶ What happened?

▶ Where?

▶ What has occurred since the onset of the crisis? For example: (e.g., government has agreed to accept

'!,"&!%,'0!%(*%$$'$,%!#"[*'55"1'%,"*&"$/0!$"*;)*'!,"&!%,'0!%(*%8"!#'"$[*?"(1*%$$"$$5"!,*#%&&'"1*0.,H

▶ What are the best, worst, and most likely scenarios regarding the evolution of the crisis?

Humanitarian consequences

▶ Who has been most affected and why? Provide estimates, if possible, of most affected groups,

disaggregated by sex and age.

▶ M-%,*%&"*,-"*!""1$*02*$/"#'?#*8&0./$A*1'$%88&"8%,"1*;)*$"R*%!1*%8"=*M-%,*%&"*,-"*1'&"#,*%!1*

immediate result of the crisis?

▶ What would be the needs in the best and worst cases, and in the most likely scenarios?

▶ What are the priority sectors needing response? Follow the IASC standards, i.e: displaced persons,

non-food items, health (including nutrition and psycho-social treatment) water and sanitation, food,

agriculture, protection of human rights, education, demining actions, coordination and support

services, economic recovery.

3. Response plans (1 page)For each sector that the country team decides to include, describe:

▶ 7;X"#,'F"$*G!0*50&"*,-%!*,B0[*"%#-*$-0.(1*;"*$/"#'?#*%!1*O.%!,'?%;("H=

▶ 6.5%!',%&'%!*%#,'0!$*,-%,*#%!*;"*#%&&'"1*0.,*1.&'!8*,-"*,'5"*$/%!*02* ,-"*+%$-*%//"%(*G!0*50&"*

than six months)

▶ Expected results and impacts

Example of table: do one table per project and leave spaces between tables.

Roles and responsibilities

c* 60B* '$* ,-"* &"$/0!$"* #00&1'!%,"1* %!1* B-0* %&"* ,-"* &"$/0!$';("* /%&,'"$* '!* ,-"* 80F"&!5"!,* %!1* S=T=g*

(maximum 10 lines)

c*>%;("*$-0B'!8*#(.$,"&N$"#,0&*("%1$*;)*$"#,0&A*%!1*/&'!#'/%(*-.5%!',%&'%!*%#,0&$*;)*$"#,0&*G"=8=A*80F"&!5"!,A*

United Nations, Red Cross and Red Crescent Societies operating in the country, NGOs)

HEALTH SECTOR

PAHO/WHO

Project title

Amount required (do not include

dollar sign)

Objectives:

P"!"?#'%&'"$*

Total number:

No. of women and children

Partners in carrying out project

ANNEX 23

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM

65

ANNEX 24

Requesting agency: PAHO/WHO

Project title:

976MG2#-+2$$"2)+$0%N"5*+5%?"

Sector:

A201"*"?+("&"45'20'"#O

Implementing parterners:

Total project budget:

Amount requested from CERF:

CERF

Project SummarySummarize the situation and its impact on the health sector. Include affected population, access to services, and identify the immediate life-saving needs. Explain why project is a priority and how project will address the CERF life-saving criteria. Description of the CERF component of the Project

Description of the CERF Component of the Project(a) ObjetiveExplain objective of the project.

(b) Proposed activitiesList proposed activities, keeping in mind life-saving criteria.

(c) Expected outcomesDescribe expected outcomes of each of the proposed activities, and the improvements expected at the end of the activity.

(d) Implementation planIn a short paragraph, state who will participate and how the plan will be executed.Budget +<=8>"?)&/)@2@1")@$A-

Cost breakdown Amount (USD)

A. Staff costs +57$7(025"7@*")1;2("2@101$2&2@15"-B

B. Travel

C. Contractual services +/$2752"012&0C2"'2$)DE"7**"()D5"0:"@2?2557(A-B

D. Operations (please 012&0C2"'2$)DE"7**"()D5"0:"@2?2557(A).

Logistical costs %

E. Acquisitions (please 012&0C2"'2$)DE"7**"()D5"0:"@2?2557(A).

F. Other

Subtotal project requirements

G. Indirect programme requirements +@)1"1)"2F?22*"GH"):"5%'1)17$"/()I2?1"?)515-B

Total cost

Date:>0*;"*?(("1*'!*;)*DQLI*<"#&",%&'%,

(*) 1 El CERF debe presentarse en ingl�s; sin embargo, este puede redactarse y enviarse a Washington para su traducci�n.

Central Emergency Response Fund (CERF) (*) 1

Page 72: FIELD MANUAL - ReliefWeb · Field Manual--PAHO/WHO Regional Disaster Response Team Washington, D.C., PAHO/WHO, 2010, 68 p. ISBN 978 92 75 30551 Available in Spanish as Gu’a de Campo:

66 ANNEXES

ANNEX 25

3,45"+ Contact Telephone E-mail

Chief, Area for Emergency

Preparedness and Disaster Relief

Dr. Jean Luc Poncelet,

Washington, D.C.

(202) 974-3399(202) 974-3434Emergency phone:(202) 974-3399Fax (202) 775-4578(202) 549-4820

[email protected]

Regional Disaster Response Team

Dr. Dana Van Alphen,

72?#": (507)-317-1120House: (507) 2258929Cell.: (507) 6677-6401

[email protected]

Dr. Leonardo Hern�ndez,

72?#": (507)-317-1120Cell.: (507) 6674-9348

[email protected]

Alternate contacts

Dr. Ciro Ugarte,Washington, D.C.

72?#": (202)-974-3708House: (703) 714-0907Cell.: (202) 297-4304

[email protected]

Patricia Bittner,Washington, D.C.

72?#": (202)-974-3528House: (703) 971-7341Cell.: (202) 427-2712

[email protected]

Emergency Operations Center, Washington, D.C.

Dr. Robert Lee 72?#": (202) 974-3399 [email protected]

Subregional PED 3,45"+,%0+9"&*02)+

America), Panama

Dr. Alejandro Santander, Subregional

Advisor

72?#": (507) 317-1120Fax: (507) 317-0600Cell.: (507) 6450-5249

[email protected]

Ricardo P�rez, Regional Advisor, Information and

Publications

72?#": (507) 317-1120House: (507) 232- 7009Cell.: (507) 6450-5472

[email protected]

Subregional 6P<+3,45"+,%0+

the Caribbean, Barbados

Monica Zaccarelli, Subregional

Advisor

72?#": (246)436-6448 (246)426-3860Fax: (246) 436-6447 Cell.: (246) 266-5597

[email protected]

Subregional PED Staff for South

America, Ecuador

Dr. Carlos Roberto Garz�n,

Subregional Advisor

72?#": (59-32) 2460-330Fax: (59-32) 2256-174Cell.: (59-39) 980-6547

[email protected]

Contact list for PAHO/WHO Area for Emergency Preparedness and Disaster Relief (PED)

See www.paho.org/disasters to update this information.

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FIELD MANUALPAHO/WHO REGIONAL DISASTER RESPONSE TEAM 67

Important web sites

ANNEX 26

Web sites

PAHO/WHO AREA ON EMERGENCY

PREPAREDNESS AND DISASTER RESPONSE

www.paho.org/disasters

UNITED NATIONS HUMANITARIAN

INFORMATION ON COMPLEX EMERGENCIES

AND NATURAL DISASTERS

www.reliefweb.inf

U.S. CENTERS FOR DISEASE CONTROL AND

PREVENTION, ATLANTA, GEORGIA

www.cdc.gov

REGIONAL DISASTER INFORMATION CENTER www.crid.or.cr

HUMANITARIAN INFORMATION NETWORK

FOR LATIN AMERICA AND THE CARIBBEAN

www.redhum.org

WORLD HEALTH ORGANIZATION www.who.int

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68

Acronyms and abbreviations

CERF : United Nations Central Emergency Response Fund.

CHAP: Common Humanitarian Action Plan.

DEWS: Diseases Early Warning System.

DSS/NY: Department of Safety and Security, United Nations (New York).

EDAN: Evaluation of damage and assessment of needs.

EOC: Emergency Operations Center.

HIC: Humanitarian Information Center.

LSS/SUMA: Logistics Support System for Humanitarian Supply Management.

NGO: Nongovernmental organization.

OCHA:*S!',"1*T%,'0!$*72?#"*20&*,-"*D00&1'!%,'0!*02*6.5%!',%&'%!*422%'&$=

PAHO/WHO: 3%!*45"&'#%!*6"%(,-*7&8%!'9%,'0!A*L"8'0!%(*72?#"*20&*,-"*45"&'#%$*02*,-"*World Health Organization.

PED: Area on Emergency Preparedness and Disaster Relief (PAHO/WHO).

PED/HQ: Headquarters, Area on Emergency Preparedness and Disaster Relief (PAHO/WHO) (Washington, D.C.).

PWR: Representative of the Pan American Health Organization/World Health Organization.

RDRT: Regional Disaster Response Team (PAHO/WHO).

SITREP: Situation report.

STC: Short-term consultant.

TA: Travel authorization.

UNDAC: United Nations Disaster Assessment and Coordination (UNDAC) team.

WVLIP: United Nations Global Limited Vehicle Insurance Policy.

ANNEX 27

ANNEXES

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Area on Emergency Preparedness and Disaster Relief

525 Twenty-third Street, N.W., Washington, D.C. 20037, USA

[email protected]

www.paho.org/disasters

In response to requests from the Ministers of Health from Latin America

and the Caribbean, PAHO/WHO established a Regional Disaster Response

Team to assist countries that are dealing with emergencies or disasters.

The Team is responsible for carrying out a rapid assessment of needs,

assisting in coordinating emergency response, and advising PAHO/WHO

and its partners. The Team assists in the health sectorÕs response to an

emergency, paving the way for installation of the Òhealth cluster,Ó as

prescribed by the United Nations Humanitarian Reform.

This manual describes deployment of the Disaster Response Team, its

objectives, and responsibilities at different stages of an emergency. It

explains the process of mobilizing resources and provides practical

'&,%0:2*'%&+,%0+H%0D+'&+*-"+4")?E+A-"+:2&/2)+'&5)/?"#+">2)/2*'%&+,%0:#+2&?+

checklists for health services, shelter, water and sanitation, epidemiologic

surveillance, damage assessment and needs analysis, and mental health,

among others. These forms are important for collecting and analyzing the

information needed for providing the most appropriate types of humanitarian

assistance.

The information in this manual will be of help to those advising PAHO/WHO

%,45"#+2&?+-"2)*-+#"5*%0+21"&5'"#+2&?+'&#*'*/*'%&#+H-"&+*-"C+0"#$%&?+*%+

emergencies or disasters.

9 7 8 9 2 7 5 1 3 0 5 5 1